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Individual

JACLYN ANN JACOBSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
17-12 HUNTER PL, FAIR LAWN, NJ 07410-5242
(201) 663-2530
Mailing address
17-12 HUNTER PL, FAIR LAWN, NJ 07410-5242
(201) 663-2530

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary

Other

Enumeration date
05/03/2018
Last updated
06/16/2018
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